Advanced Nurse Practitioner

NHS Jobs; South Carolina; On-site; USD 56,000 - 75,000; Full time

Job summary

Dorset County Hospital NHS Foundation Trust is seeking a clinically autonomous practitioner to provide direct access to a Nurse Practitioner, either in the Practice, by telephone, or via domiciliary visits, for the general practice population.

You will act as an independent prescriber, order tests, interpret results, and work with multidisciplinary teams to deliver integrated care. You must maintain professional registration and engage in CPD and annual appraisal.

Responsibilities

• Provide direct access to a Nurse Practitioner in the Practice, over the telephone and via domiciliary visits, for the general practice population.
• Make professionally autonomous decisions and be accountable for those decisions.
• Provide a first point of contact for patients with undifferentiated problems, using history taking, examination and clinical decision‑making to establish diagnosis and management plan.
• Instigate diagnostic tests or investigations and interpret results.
• Act as an independent prescriber within current legislation to prescribe medications.
• Provide safe, evidence‑based, cost‑effective patient care and develop personalised care plans.
• Collaborate with MDTs and external organisations to deliver integrated pathways of care and meet quality targets (e.g., QOF).
• Record accurate consultation data per latest NMC guidance and participate in CPD and appraisal.

Job description

CLINICAL ROLE:

• Provide the choice of direct access to a NP, both in the Practice, over the telephone and via domiciliary visits, for the general practice population.
• Make professionally autonomous decisions for which he/she is accountable.
• Provide a first point of contact within the Practice for patients presenting with undifferentiated, undiagnosed problems, making use of skills in history taking, physical examination, problem-solving and clinical decision‑making, to establish a diagnosis and management plan.
• Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports.
• As an independent prescriber: prescribe safe, effective and appropriate medication as defined by current legislative framework.
• Provide safe, evidence-based, cost‑effective, individualised patient care.
• Offer a holistic service to patients and their families, developing where appropriate an on‑going plan of care/support, with an emphasis on prevention and self‑care.
• Promote health and well‑being through the use of health promotion, health education, screening and therapeutic communication skills.
• Refer patients directly to other services/agencies as appropriate.
• Work with nursing, medical and health care assistant colleagues to ensure that National Service Frameworks (eg Coronary Heart Disease/Older People/ Diabetes /Mental Health) are being delivered.
• Work with multi‑disciplinary teams both within the Practice and external organisations to promote integrated and seamless pathways of care.
• Contribute to the practice achieving its quality targets to sustain the high standards of patient care and service delivery e.g. QOF and enhanced services.
• Participate in identification of community health needs and develop patient/family‑centred strategies to address them
• Be aware of current initiatives to improve existing patient services.
• Be prepared to embrace IT and all computer services to update knowledge, educate patients and use templates etc.

TEACHING AND MENTORING ROLE:

• Promote a learning environment for patients, nurses and other health professionals.

PROFESSIONAL ROLE:

• Promote evidence‑based practice through the use of the latest research‑based guidelines and the development of practice‑based research.
• Monitor the effectiveness of their own clinical practice through the quality assurance strategies such as the use of audit and peer review.
• Maintain their professional registration.
• Participate in continuing professional development opportunities to ensure that up‑to‑date evidence‑based knowledge and competence in all aspects of the role is maintained.
• Work within the latest NMC Code of Professional Conduct.
• Record accurate consultation data in patients records in accordance with the latest NMC guidance and other pertinent standards.
• To work with Partners in identifying issues related to nursing which need to be further discussed within the practice.
• Actively take part in mandatory and internal\external training as requested including annual appraisal (both external and internal).

Dorset County Hospital NHS Foundation Trust